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`t- <br />� <br />UTILITY P`:_RMIT APPLICATION <br />CITY O`� EVERETT PERMIT SERVICES <br />32'i0 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - �AX 425-257-8857 — www.everettwa.org <br />�22� �a�� I�� /�,� E� _ <br />PROJECT ADDRESS <br />Property Owner <br />A:ad Adtlress <br />pl th�s is for a com,c�rcial business) <br />�� 1�ox13�' <br />-� _-� ,,� � -, �.. <br />Coniractor ldadAtldiess Cdy <br />��S�CL� �tloZ2`c� <br />4�71 Slate Conlractor License Number (reqwred) <br />Work to bc done: <br />� Side Seever Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />� Install Backwater Valve (outside the buiiding) <br />❑ Cap off Sewer <br />❑ Install Waler Meter <br />REV�SEO � �: � � :0 i. <br />Cdy <br />� <br />L�Zs� <br />�uA- �l-�� � <br />Slate/L0 Phone <br />Slale�Lp <br />applied �v1, �/lo�(j <br />Cdy of Everetl Dusiness Ucense Number (requ�red) <br />FEE <br />3��v <br />PERMITn <br />U f 503 — D�� <br />